Cases reported "Facial Asymmetry"

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1/5. Dentomaxillofacial imaging in proteus syndrome.

    proteus syndrome is a rare condition that involves atypical growth of the bones, skin and head and a variety of other symptoms. Only a few authors have reported on the craniofacial manifestations so far. The authors present a case of a 7-year-old girl with proteus syndrome in which the facial skeleton showed unilateral overgrowth. The analysis of the radiological evaluation revealed a bialveolar prognathism, a skeletal class III, a dolicocephalic growth pattern and a left convex face scoliosis. On the left side, the lesser wing of the sphenoid was elevated and the ethmoidal cell complex was hypertrophic. The left ramus and body of the mandible were enlarged. The asymmetric dental development with a precocious dental age on the affected side was the most striking feature on the panoramic view. early diagnosis and therapy depend on clinical evaluation and imaging. Therefore, further evaluations on the craniofacial features of patients with proteus syndrome are necessary in order to establish a list of characteristic symptoms.
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ranking = 1
keywords = prognathism
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2/5. Asymmetric mandibular prognathism: a 30-year retrospective case report.

    A healthy white man with marked facial and dental asymmetry, a consequence of unilateral mandibular condylar hyperplasia, was treated with conventional fixed edgewise appliance therapy combined with orthognathic surgery (bilateral sagittal split osteotomy of the mandibular ramus). Pretreatment, posttreatment, and long-term follow up records for the patient at ages 26 years 11 months, 28 years 6 months, and 58 years 7 months are presented. Thirty years after treatment, the results remain stable. The pretreatment and posttreatment records were presented to the American Board of orthodontics in 1976 in partial fulfillment of the requirements for board certification.
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ranking = 4
keywords = prognathism
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3/5. Correction of a canted occlusal plane with miniscrews in a patient with facial asymmetry.

    The inability of orthodontists to change the cant of the maxillary occlusal plane without surgical intervention is a limitation of orthodontic treatment. LeFort I osteotomy with asymmetric maxillary impaction is often used to correct this problem. However, canting caused by extruded teeth can be corrected easily with normal orthodontic appliances and skeletal anchorage. The correction occurs through intrusion of the extruded teeth on 1 side of the maxilla, thereby avoiding a more aggressive surgical approach. A 22-year-old Korean man with facial asymmetry and mandibular prognathism treated in this manner showed the possibility of correcting occlusal plane canting with miniscrews.
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ranking = 1
keywords = prognathism
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4/5. An American Board of orthodontics case report. Correction of a Class III mandibular prognathism and asymmetry through orthodontics and orthognathic surgery.

    The Class III malocclusion with mandibular prognathism can involve many factors, among which are excessive mandibular growth, underdevelopment of the maxilla, environmental factors, and trauma to the jaws. The correction of this malocclusion can involve an orthodontic or a combined orthodontic-orthognathic approach. Skeletal asymmetries can complicate this situation, making treatment either more difficult, more complicated, or both. This case presentation involves treatment with a combined orthodontic-orthognathic approach. [This case was presented to the American Board of orthodontics in partial fulfillment of the requirements for the certification process conducted by the Board.]
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ranking = 5
keywords = prognathism
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5/5. Unusual distribution of enamel hypoplasia in an 11-year-old child with proteus syndrome.

    An 11-year-old girl with proteus syndrome attended our dental department because her teeth were sensitive to cold stimuli and because of the poor appearance of her anterior teeth. Extraoral examination revealed several of the previously reported craniofacial features of proteus syndrome: facial and skull asymmetry, exostoses of the nasal bridge, and mandibular prognathism. Intraoral examination revealed enamel hypoplasia of primary and permanent teeth. The distribution of hypoplasia was unusual in that only teeth on the right side of the mouth were affected, and also in that only the distal half of the crown of the maxillary right permanent central incisor was affected. Behavioural problems necessitated treatment under general anaesthesia; the affected primary teeth were extracted and the hypoplastic permanent teeth were restored, relieving the patient's symptoms and greatly improving aesthetics.
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ranking = 1
keywords = prognathism
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